NICHOLAS ANTHONY DISTEFANO

OMAHA, NE
NPI1700403250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NE  8835)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
Dr. NICHOLAS ANTHONY DISTEFANO MD
7710 MERCY RD STE 202
OMAHA, NE 68124-2353
Phone number: 402-280-4195
Mailing Address
Dr. NICHOLAS ANTHONY DISTEFANO MD
7710 MERCY RD STE 202
OMAHA, NE 68124-2353
Phone number: